Schedule of dental fees
This schedule shows the maximum amount we will reimburse for treatment under the Dental Injury and Restorative Treatment following Oral Cancer dental benefits. All claims must be pre-authorised before treatment commences. Please refer to your Guide for terms and conditions and details of what is and isn't covered.
Out of hours attendance fee
Item Item
Reimbursement limit Limit
Out of hours telephone consultation
Up to £60
Registered dentist
Up to £200
Registered dental surgery assistant
Up to £85
General fees
Item Item
Reimbursement limit Limit
Consultations, examination & report
Up to £80
X-ray (small)
Up to £50
X-ray (full mouth)
Up to £125
Prescription antibiotics / painkillers
Up to £30
Sedative dressings - 1st tooth
Up to £75
Sedative dressings - multiple
Up to £95
Intravenous sedation
Up to £180
Abscess drainage
Up to £90
Arrest of haemorrhage
Up to £70
Root canal treatment, opening & dressing : single
Up to £95
Root canal treatment, opening & dressing : multiple
Up to £105
Temporary crown
Up to £75
Temporary bridge
Up to £120
Fillings
Item Item
Reimbursement limit Limit
One filling
Up to £90
Two fillings
Up to £180
Multiple fillings
Up to £290
Pin retention
Up to £25
Root fillings
Item Item
Reimbursement limit Limit
Incisor / canine
Up to £300
Pre-molar
Up to £410
Molar
Up to £510
Apicectomy (root filling)
Up to £360
Extractions
Item Item
Reimbursement limit Limit
One tooth
Up to £95
Multiple
Up to £190
Surgical extraction
Up to £220
Crowns & Bridges
Item Item
Reimbursement limit Limit
Pin retention for crown
Up to £35
Ceramic crown
Up to £590 per unit
Bonded crown - precious metal
Up to £590 per unit
Cast gold crown
Up to £600 per unit
Gold / ceramic inlay
Up to £550 per unit
Bridgework - precious metal
Up to £540 per unit
Re-cement crown / bridge / inlay
Up to £270
Dentures
Item Item
Reimbursement limit Limit
Complete set acrylic resin
Up to £1,010
Full upper or lower resin
Up to £680
Partial resin
Up to £550
Partial metal
Up to £850
Repairs
Up to £150
Repairs - emergency out of hours
Up to £95
Dental implants
Item Item
Reimbursement limit Limit
Implants and associated restorative treatment
£3,000 per implant
An overall maximum limit may apply on your insurance cover.
NHS Dentist Fees
Item Item
Reimbursement limit Limit
Band 1 : Examination, diagnosis (x-rays), advice, scale and polish
NHS charges as applicable at the point of treatment
Band 2 : Band 1 items plus fillings, root canal work or removal of one or more teeth
NHS charges as applicable at the point of treatment
Band 3 : Band 1 & 2 items plus crowns, dentures and bridges
NHS charges as applicable at the point of treatment
Scotland / Northern Ireland NHS fees
NHS charges as applicable at the point of treatment